NIKKI YEAGER MEMORIAL SCHOLARSHIP
$1000 SCHOLARSHIP
Will be awarded to a Horn Lake High School senior who:
- Will be enrolling in a college or any branch of he military in the Fall of 2017
- Has participated in at least 15 hours of community service
- Is involved in some type of extracurricular activity at HLHS
- Has an ACT score of 21 or higher
- Is ranked in the top 20% of the class
Applicants must submit a COMPLETE application to your counselor by March 9, 2017.
NIKKI YEAGER MEMORIAL SCHOLARSHIP
Name______
GPA______ACT______
College/Military you plan to attend______
Intended Major ______
What extracurricular activities have you participated in at HLHS?
______
______
______
______
What Community Service Projects have you participated in? Use attached forms for proof of projects.
______
______
______
______
“My Dash”
Attach a 500 word TYPED essay on how you hope people will look at your life and remember the impact that you’ve done for your family and community. Will you make a difference in this lifetime? What are the steps you will take to make sure you will have a great DASH? In 25 years, will you honestly be able to say that you made a difference? We are all amazing people that God created. We are all to do amazing things, so what will your DASH be?
HORN LAKE HIGH SCHOOL COMMUNITY SERVICE VERIFICATION
STUDENT:______
COMMUNITY SERVICE CONTACT INFORMATION
Agency/Organization Name ______
Community Service Project ______
Contact Person______Phone ______
DATES OF SERVICE
______TO ______
VERIFICATION
I hereby verify that the above student completed ______hours of Community Service for the agency named above.:
Agency Contact Signature: ______
HORN LAKE HIGH SCHOOL COMMUNITY SERVICE VERIFICATION
STUDENT:______
COMMUNITY SERVICE CONTACT INFORMATION
Agency/Organization Name ______
Community Service Project ______
Contact Person______Phone ______
DATES OF SERVICE
______TO ______
VERIFICATION
I hereby verify that the above student completed ______hours of Community Service for the agency named above.:
Agency Contact Signature: ______
HORN LAKE HIGH SCHOOL COMMUNITY SERVICE VERIFICATION
STUDENT:______
COMMUNITY SERVICE CONTACT INFORMATION
Agency/Organization Name ______
Community Service Project ______
Contact Person______Phone ______
DATES OF SERVICE
______TO ______
VERIFICATION
I hereby verify that the above student completed ______hours of Community Service for the agency named above.:
Agency Contact Signature: ______
HORN LAKE HIGH SCHOOL COMMUNITY SERVICE VERIFICATION
STUDENT:______
COMMUNITY SERVICE CONTACT INFORMATION
Agency/Organization Name ______
Community Service Project ______
Contact Person______Phone ______
DATES OF SERVICE
______TO ______
VERIFICATION
I hereby verify that the above student completed ______hours of Community Service for the agency named above.:
Agency Contact Signature: ______